31D2194809 CLIA NUMBER - MEDICINE MAN PHARMACY & COMPOUNDING

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Laboratory Demographics

CLIA Number: 31D2194809

Facility Name: MEDICINE MAN PHARMACY & COMPOUNDING

Facility Address:
511 WASHINGTON ST
HOBOKEN, NJ
ZIP 07030
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Facility Phone Number: (201) 942-9777

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1598009383

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	31D2194809
LAB Type	PHARMACY
Facility Name	MEDICINE MAN PHARMACY & COMPOUNDING
Street	511 WASHINGTON ST
City	HOBOKEN
State	NJ
ZIP	07030
Phone	(201) 942-9777

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This page was last updated on: 5/11/2023